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Organization

THE LISTENING SLP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYDNEY BASSARD CCC-SLP (OWNER)
(980) 428-3866
Entity
Organization

Contact information

Practice address
1307 GARDEN VISTA DR, MATTHEWS, NC 28104-0302
(980) 428-3866
Mailing address
1307 GARDEN VISTA DR, MATTHEWS, NC 28104-0302

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14593
SPEECH
NC
01
2202009747
SPEECH
VA
Enumeration date
12/16/2021
Last updated
12/16/2021
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